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Why One Therapy Alone May Not Be Enough Many patients start TRT and experience significant improvements in energy, libido, and strength, but still report: Persistent poor sleep quality Slower-than-expected recovery Incomplete body composition changes Plateau in fat loss despite improved muscle mass These residual symptoms often reflect concurrent GH deficiency that TRT protocols alone cannot address

Phytother Res 25(11):16231628 Jeffery EH, Keck AS (2008) Translating knowledge generated by epidemiological and in vitro studies into dietary cancer prevention